Avantara Saint Cloud
Nursing Home · Rapid City, SD
CMS certification number435060
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
302 ST Cloud StreetRapid City, SD 57701
Pennington County
- Phone
- (605) 343-4738
- ZIP code
- 57701 – all care providers
Facility details
- Certified beds
- 78
- Residents per day
- 72.2 (93% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Saint Cloud SD Skilled Nursing Facility, LLC
- Chain
- Legacy Healthcare (89 facilities, avg 2.9★)
- Medicare certified since
- May 1, 1991
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.12 (state 3.79 · U.S. 3.86)
- Registered nurses (RN)
- 0.52 (state 0.80 · U.S. 0.69)
- Licensed practical nurses
- 0.45 (state 0.47 · U.S. 0.86)
- Nurse aides
- 2.15 (state 2.52 · U.S. 2.32)
- Weekend total
- 2.85 (state 3.26 · U.S. 3.42)
- Nursing staff turnover
- 57.3 (state 48.2 · U.S. 45.8)%
- RN turnover
- 77.8 (state 34.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- January 27, 2026
- Health deficiencies (last cycle)
- 6.0 (state 6.9 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 17 health · 3 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-18 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-04-14 |
| 2026-03-18 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-06 |
| 2026-01-27 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-10 |
| 2026-01-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-10 |
| 2026-01-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-10 |
| 2025-08-13 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-08-05 |
| 2025-07-02 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-12 |
| 2025-03-27 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-26 |
| 2024-11-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2024-11-07 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2024-11-07 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2024-11-07 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2024-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2024-11-07 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-22 |
| 2023-10-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-11-22 |
| 2023-10-26 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-22 |
| 2023-10-26 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $24,751 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-13 | Fine | $13,343 |
| 2023-10-26 | Fine | $11,408 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 (organization) | 5%+ Direct Ownership Interest · 43% | |
| GPN Family Trust U/A/D 4/28/08 (organization) | 5%+ Direct Ownership Interest · 43% | |
| Oakway Operations LLC (organization) | 5%+ Direct Ownership Interest · 15% | |
| Saint Cloud SD Property Holdings, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Truist Bank (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Altena, Ashaley (individual) | Administrator · NOT APPLICABLE | |
| Doros Generation Trust U/A/D 1/3/12 (organization) | Administrator · NOT APPLICABLE | |
| GPN Family Trust U/A/D 4/28/08 (organization) | Administrator · NOT APPLICABLE | |
| Legacy Healthcare Financial Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Ptacek, Travis (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Administrator · NOT APPLICABLE | |
| RSM US LLP (organization) | Administrator · NOT APPLICABLE | |
| Saint Cloud SD Property Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Administrator · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Altena, Ashaley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ptacek, Travis (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rajchenbach, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shabat, Menachem (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Truist Bank (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avantara Saint Cloud?
Avantara Saint Cloud has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in South Dakota.
How many beds does Avantara Saint Cloud have?
It has 78 certified beds and cares for about 72 residents per day.
Has Avantara Saint Cloud been fined?
Yes. CMS lists 2 penalties totaling $24,751 in the last three years.
Who owns Avantara Saint Cloud?
It is part of Legacy Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avantara Saint Cloud?
(605) 343-4738. The facility is located at 302 ST Cloud Street, Rapid City, SD 57701.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.